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Home My WebLink AboutGrant Related - BOCC (002)�J GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST suBnniTrED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Karl"12 Stockton CONFIDENTIAL INFORMATION: ❑YES ®NO DATE: 1/19/2024 PHONE:ext. 2937 DATE OF ACTION: L APPROVE: DENIED ABSTAIN D1: D2: D3: DEFERRED OR CONTINUED TO: OMNI EMME ❑Agreement / Contract ❑AP Vouchers---------- a 6 - ❑Appointment / Reappointment ❑ABPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code ❑Emergency Purchase ❑Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearin 9 ❑ Invoices / Purchase Orders 0 Grants — Fed/State/County .❑ Leases ❑ MOA / MOU ❑Minutes ❑Ordinances ❑Out of State Travel El Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑Recommendation El Professional Sery/Consultant C]Support Letter ❑Sur lus Req. p q ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB e A A Reimbursement request from New Hope on the Department of p p Commerce Federal Interagency Agreement, Emergency Housing Fund (EHF) Grant No. 24-4619D-106 in the amount of $11,413.15 for December expenses. DATE OF ACTION: L APPROVE: DENIED ABSTAIN D1: D2: D3: DEFERRED OR CONTINUED TO: f ANT d . STATE CO WASHINr,510N 1t DEe,A,RT 4E T OF COMMERCE *19W. -Co M11 Ift-p-Me3v 8,90V orm 19=1A VOUCHER DISTRIBUTION AGENCY Shot Code Commerce Contract`Number. NUMBER . CMS Invoice ID: DEPARMENT OF 1030 24-4619D-106 385415 COMMERCE VENDOR OR CLAIMANT (Warrant payable to:) INSTRUCTION TO VENDOR OR CLAIMANT: Grant County Board of Commission Submit this form to claim payment for materials, merchandise or PO BOX 37 services. Show complete detail for each item. EPHRATA, WA98823-0037 Vendor's Certificate: The individual signing this voucher below warrants they have the authority to do so as authorized and on behalf Janice Flynn (Vendor Contact' Person) / of the entity identified in the Vendor/Claimant section. The individual signing below certifies under penalty of perjury that the items and totals listed herein are proper charges for materials, merchandise or (509) 754-2011 ext ext2937 (Vendor Contact Phone) � services furnished to the State of Washington, and that all goods furnished and/or services rendered have been provided without jflvnn& antcountywa.gov discrimination because of age, sex, marital status, race, creed, color, (Vendor Contact Email) national origin, handicap, religion or Vietnam era or disabled veterans status. 07/01/23 - 06/30/24 (Contract Period) Karrie Stockton Kstockton2 1/19/2024 10:50:50 AM 12/01/23 - 12/31/23 (REPORT PERIOD) (SUBMITTED BY) (SUBMIT DATE) DESCRIPTION BUDGET REQUESTED .. EXPENDED TO AMOUNT.THIS :AWARD AMOUNT DATE INVOICE.REMAINING: =; Admin - Unassigned $120,383.00 $2,110.88 $37736.40 $.00 $116,646.60 Operations - Unassigned $921,156.00 $8,445.05 $488.94 $.00 $920,667.06 Rent -Unassigned $27,153.00 $857.22 $693.36 $.00 $26,459.64 Facility Support - Unassigned $85,646.00 $.00 $.00 $.00$85,646.00 Non - Match Total: $15154,338.00 $11,413.15 $4,918.70 $.00 $1,149,419.30 PROGRAM APPROVAL ate -- ---- Th i :` e ndividual si nin this voucher w (, sigping arrants they have the -authority to sign this voucher.) DOC DATE CURRENT REFERENCE DOC NO. VENDOR NDOR NUMBER and SUFFIX DOC. NO. SWV0002426 03 ACCOUNT NO. ASD NUMBER VENDOR MESSAGE 190.001.00.7612.333210000 45761 TRANS REV MASTER SUB SUB MG IVIS. GL ACCT- SUB" UB AMOUNT ; RROGRAM CODE CODE INDEX OBJ SUB,.S1D INDEX (IBJ 46ECO220 NZ 4620C READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 1/19/2024 10:47:50 AM Lead Grantee Name: List Sub Grantee Names Below Report Week or Month/Year: December 1-31,.2023 Organization Name: New Hope NH Shelter RRH Hotel Vouchers Totals .. ..... :.. -.. . _ ,( .,".. <. 1. Adm 2' 1-1 88 .. .\ �, ,a.. .\ ,.\ .. ,. we ,. , , ly. .• .,,., 4. � eF,e ,.? _. \� � i. <.. :. a\.. ,\\',.: ,.3'. ", ., ., >. ., Z .., SPS , _. V, _' :, 1 ''. \. .. .\ • \ .,. :.... .,. , x ... .. ... M .w•. , 1 .. ,. t .\ . , .. t , : .0 .., z, > . >A,. S S r � , ,' A ? , ,_ .1vx > • l ...r•. .':.. .... . . t.. , S: '^\. .F. \, \,.,> ,,. ,. y,. �...• , , . 8.04 .24 •. ] ., �. �., .Y. \� �. ,, W. r , , .. , .. , �, , � . , . \, . � J � J•. �� .x� w\ �.., �.� .�, a 8°445:05' , , .,.v, .. ...• .:M, ..w.,,s,>...xk.a�•.t..,a,-\.•hc .,t.. ., h,:,A.,, •.:a, ,v.ktir.\ i. } i. y , fac�l�t Su 00 Rent 5 �-.. A ,�, , $57.22. Totals $8,043.24 $0.00 $3,369.91 $0.00 $0.00 $0.00 $0.00 Invoice Total: $11,413.15 Note: Please enter the numbers that. correspond to the budget category being charged for each organization. For example: "X Org" has billed Lead Grantee "Y County" for X org's admin costs. However, Y county is invoicing Commerce for those costs under "operations" Then the amount listed under X Org would be entirely in the "Operations" row. if Y county also had a youth provider as a sub grantee who was charging Rent Assistance costs to Y county, and those costs were being invoiced to Commerce under the "Rent Assistance" category, then that would be in that row under that organization. Signature Total $ 1,259.03 Amount charged to EHF Voucher Detail Code Salaries Calculation the grant Invoice Documentation: Salaries Staff Name Suzi Fode 565501100 14209.38 12% $ 1,705.13 Shelter Operations✓ Elsa Borrego 565501100 6467.06 48% $ 3,104.19 Shelter Operations'' Tara Dieng 565501100 7610.73 7% $ 532.75 Shelter Operationsv Maria Hallatt 565501100 7437.63 7% $ 520.63 Shelter Operations/ Alyce Barrientoz 565501100 7463.75 19% $ 11418.11 Admin/NH Shelter ►/ Elsa Borrego Overtime 565501202 455.06 48% $ 218.43 Shelter Operations,' Tara Dieng Overtime 565501202 142.71 7% $ 9.99 Shelter Operations w Alyce Barrientoz Overtime 565501202 182.4 19% $ 34.66 Admin/NH ShelterPoo Total $ 7,543.89 Invoice Documentation: Benefits Suzi Fode 565502*** 3422.41 12% 410.69 Shelter Operations Elsa Borrego 565502*** 2309.23 48% 1108.43 Shelter Operations' Tara Dieng 565502*** 2491.32 7% 174.39 Shelter Operations/ Maria Hallatt 565502*** 3694.44 7% 258.61 Shelter Operations/ Alyce Barrientoz 565502*** 3463.74 19% 658.11 Admin/NH Shelteroo, Total $ 2,610.23 Vendor: Description Mario Padilla 591657001 Office Lease $ 350.39 Operations Hotel Vouchers V PB Janitorial 565504107 Janitorial $ 43.08 Operations Hotel Vouchers,/ US Linen 565504107 Janitorial $ 8.34 Operations Hotel Vouchers/ Quality Inn 565504502 Emer.Shelter $ 857.22 Rent/Hotel Vourchersvol Total $ 1,259.03 Amount Due Due Date 395.64 Upon Receipt Company Profile Number, 2277219 Page 1 of 1 Current Past 30 Days Past 60 Days Past 90 Days ---- -------- I ------ Past 120 D r a Y - s - - ---------------- I Amount Due 395.64 0.00 0.00 0.00 0.00 395,64 --- -------- NEW HOPE 604 West Third, Suite B Moses Lake, WA. 98837 Statement of Account This is a reminder of your obligation, Please call (509) 765-8886 ifyou should have any questions regarding this statement Inver Name Acgoun A_cgount TvDe Invoice Amount Lrits late Number !L_ aa_lance 11/16/2023 HOPE, NEW 899913899 Guest 70167380 65.94 0.00 65.94,/ 11/24/2023 HOPE, NEW 901123451 Guest 70263748 0,00 0.00 0.00_�o 11126/2023 HOPE, NEW 901123451 Guest 70280423 197.82 0.00 197.8 11/2912023 HOPE, NEW 901801094 Guest 70311187 65,94 0,00 6 5,94 1113012023 HOPE, NEW 901901181 Guest 70327308 65.94 0,00 65.94 Total Due: 395.64 NEW HOPE 604 West Third, Suite B Moses Lake, WA 98837 Quality Inn uuallfty Inn V lity- . 449 Melva Lane INN Moses Lake, WA 98837 By �CHOICK HOTELS Telephone: (509) 765-8886 Fax-, (509) 766-0779 WA255@stayatchoice.com Amount Due Due Date 395.64 Upon Receipt Company Profile Number, 2277219 Page 1 of 1 Current Past 30 Days Past 60 Days Past 90 Days ---- -------- I ------ Past 120 D r a Y - s - - ---------------- I Amount Due 395.64 0.00 0.00 0.00 0.00 395,64 --- -------- NEW HOPE 604 West Third, Suite B Moses Lake, WA. 98837 Statement of Account This is a reminder of your obligation, Please call (509) 765-8886 ifyou should have any questions regarding this statement Inver Name Acgoun A_cgount TvDe Invoice Amount Lrits late Number !L_ aa_lance 11/16/2023 HOPE, NEW 899913899 Guest 70167380 65.94 0.00 65.94,/ 11/24/2023 HOPE, NEW 901123451 Guest 70263748 0,00 0.00 0.00_�o 11126/2023 HOPE, NEW 901123451 Guest 70280423 197.82 0.00 197.8 11/2912023 HOPE, NEW 901801094 Guest 70311187 65,94 0,00 6 5,94 1113012023 HOPE, NEW 901901181 Guest 70327308 65.94 0,00 65.94 Total Due: 395.64 NEW HOPE 604 West Third, Suite B Moses Lake, WA 98837 Amount Due Due Data 395.64 Upon Receipt This is a reminder for your records. If payment has already been submitted, please accept our thanks. We appreciate your business! V Quality Inn 449 Melva Lane Qu i y. Moses Lake, WA 98837 INN OY CHOICE HOTELS WA255@stayatchoice.com Amount Due Due Data 395.64 Upon Receipt This is a reminder for your records. If payment has already been submitted, please accept our thanks. We appreciate your business! V County of Grant 35C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: MELVA LANE LLC DBA: QUAILITY INN 449 MELVA LANE MOSES LAKE WA 98837 Document Number Purchase Order Number 899913899 .....D—es- -c ... r, 'I" —pt -i 'o", n-,-:- . ................... . ..... i_...... --- Ernergeny Shelter UALI VendorlD - - ----- -- -- Page 1 / 1 Invoice 0402806 Date 11 /28/2023 Shipping Method Payment Terms ID a........,._ 'NET 30 ....... ....... Amount $65.94 Subtotal $65.94 misc $0.00 Tax $0,00 Freight $0,00 Trade Discount $0.00 Payment $0.00 Total Due $65,94 ually' INN By CHOICE HOTELS NEW HOPE HOPE, NEW 311 w 3rd Moses Lake, WA 98837 Quality Inn (WA255) 449 Melva Lane Moses Lake, WA 98837 (509) 765-8886 1 A255@stayatchoice.com Account: 899913899 Date: 11/16/23 Room- 301 LMCONS Arrival Date: 11/15/23 Departure Date: 11/16/23 Check In Time, 11 /15/23 5:25 PM Check Out Time: 11/1 6/23 9:41 AM Rewards Program ID: You were checked in by: skirty You were checked out by: lrosco Total Balance Due,: 0.00 p" 00M hare 60.00 N EW 11/15/23 State Tax 5.94 11/16/23 Direct Bill Room Charge 60.00 State Tax 5.94 Direct Bill (65-94) Balance Due: 0.00 With this rate you are able to earn valuable Choice Privileges points' X :CHOICE rivipleges, *OWA#�% You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.c;hoicehotels-com/cho*ice-�pr*lv*lleges, Shelter/Hotel: Date In: Program: Hotel 11/16/2023 DV Client (First Initial & Last Name): Year of Birth: 1987 Case 1D.- 716978 Secondary #1'013: 2023 Secondary #2 YOB: Secondary #3 YOB: Secondary #4 Y013 - Secondary #5 YOB: Secondary #6 YOB: 4 Previous Living Situation?, Where did client exit to 7.: Client Shelter Form M. Ducken Hotel Name/Room in Shelter: Date Out: 11/17/2023 Review Shelter Guidelines, Invoice Turned In: Client ID: GEP33113 NCA Trak: 2023-727 Gender: Female Gender: Gender: Gender: Gender: Gender: Rental by client w/RRH or equivalent Subsidy Rental by client w/RRH or equivalent Subsidy Payment Grant: �,.,,� � ((„� �� Comments: Fleeing DV Yes 301 Page 1/ 1 Invoice 0403518 Date 12/6/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: MELVA LANE LLC DBA: QUAILITY INN 449 EL 'A LANE MOSES LAKE WA 98837 . ........... . ...... ... . .......... ...... ...... ........ --- - --- .......... Document Number Purchaso order Number VendorlD Ship ing Method Payment Terms ID P1 .. . . ...... - - — ----------- .901923478 QUAL! Description, NET 30 Emergency Shelter Amount $461.58` ............... .......... . . ....... . ......... ...... . ....... ........ . . - .......... Subtotal $461-58 Mise $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $461.58 Post Date Quality Inn (W) Account: 9019234'78 449 Melva Lane Date, 12/6/23 1-1/29/23 Moses Lake, WA 98837 Room: 309 WCONS y- INN (509) 765-8886 Arrival Date: 11/29/23 By CHOICE HOTELS 1 A255@stayatchoice.com Departure Date: 12/6/23 11/30/23 Room Charge Check In Time: 11/29/23 3:25 PM Check Out Time: 60,00 NEW HOPE State Tax HOPE, NEW Room Charge Rewards Program ID: 5,94 311 W 3RD AVE You were checked in by: skirby Moses Lake, WA 98837 You were checked out by: 12/1/23 State Tax Total Balance Due: 0.00 Post Date Description Comment Amount 1-1/29/23 Room Charge #309 HOPE, NEW 60.00 11/29/23 State Tax 11/30/23 Room Charge #309 HOPE, 5.94 NEW 60,00 11/30/23 State Tax 12/1/23 Room Charge #309 MOPE, 5,94 60-00 NEW 12/1/23 State Tax 12/2/23 Room Charge #309 DOPE,, 5.94 E 60. 00 12/2/23 State Tax 12/3/23 Room Charge #309 HOPE, 5,94 60.00 NEW 12/3/23 State Tax 5,94 12/4/23 Room Charge #309 HOPE, 60.00 NEW 12/4/23 State Tax 5.94 12/5/23 Room Charge #309 HOPE, 60.00 NEW 12/5/23 State Tax 5.94 12/6/23 Direct Bill (461.58) Foll"o Summary 11 /29123 12./6/23 Room Charge 420.00 State Tax 41-58 Direct Bill (461-58) Balance Due: 0.00 With this rate you are able to earn valuable Choice Privileges points! 4: CHOICE privileges,: You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.choicehotels-com/choice-pr*lv*lleges. Shelter/Hotel: Date In: Program: Hotel 11/29/2023 DV Client Shelter Form Hotel Name/Room in Shelter: Date Out,A Review Shelter Guidelines, Invoice Turned In: Client (First Initial & Last Name): D. Cannon Year of Birth: 1999 Client IML33113 Case ID: 714954 NCA Trak: 2023-663 Secondary #1 Y013: 2018 Secondary #2 YOB* - Sec ondary #3 YOB: Secondary #4 YOB: Secondary #5 YOB: Secondary #6 Y013: Gender: Male Gender: Gender: Gender: Gender, Gender: Previous Living Situation?: Rental by client, no ongoing subsidy Where did client exit to?, - Payment Grant: Comments: Yes 309 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor,: MELVA LANE LLC DBA: QUAILITY INN 449 MELVA LANE MOSES LAKE WA 98837 Document Number Purchase Order Number Page 1 11 Invoice 0402802 Date 11 /28/2023 --- - ----------- - ------ VendorID Shipping Method Pavment Terms ID d.!VU11LJ !)I r% 4 4-4 ........ . . Emergency Shetter ... . ...... .... .. Subtotal Mise Tax Freight Trade Discount Payment Total Due N 30 Amount $197.82 $197,82 $0.00 $0.00 $0.00 $0.00 $0.00 $197.82 Post Date Description Quality Inn (WA255) Account: Date: 901123451 11/26/23 #108 HOPE, 449 Melva Lane NEW 11/23/23 State Tax Room: 108 LNICONS Quality- Moses Lake, WA 98837 Arrival Date, 11/23/23 1 N N (509) 765-8886 Departure Date: 11/26/23 RY CHOICE HOTE" WA255@stayatchoice.com Check In Time: 11 /23/23 7:29 P M 11/25/23 Room Charge #108 HOPE, Check Out Time,, NEW HOPE Rewards Program ID: HOPE, NEW You were checked in by, skirby 311 W 3RD AVE You were checked out by: Moses Lake, WA 98837 Total Balance Due: 0.00 Post Date Description Comment Amount 11/23/23 Room Charge #108 HOPE, 60.00 NEW 11/23/23 State Tax 5.94 11/24/23 Room Charge 4108 HOPE) 60.00 NEW 11/24/23 State Tax 5.94 11/25/23 Room Charge #108 HOPE, 60.00 NEW 11/25/23 State Tax 5;94 11/26/23 Direct Bill (197.82) Folio Summary 11123/23 - 11126/23 Room Charge 180.00 State Tax 17.82 Direct Bill (197.82) Balance Due: 0.00 With this rate you are able to earn valuable Choice Privileges points! 'HIE privileges, NCWANDN You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.choicehotels.com/cho-ice-privileges. Qualftlks- IN y By CHOICE HOTELS NEW HOPE HOPE, NEW 311 W 3RD AVE Moses Lake, WA 98837 Quality Inn (WA255) 449 Melva La*ne Moses Lake, WA 98837 (509) 765-8886 WA255@stayatchoice.com Account, 901123451 Date* 11 /26/23 Room: 108 LNICONS Arrival Date: 11/23/23 Departure Date: 11/26/23 Check In Time, 11/23/23 7:99 PM Check Out Time: Rewards Program ID: You were checked in by: skirby You were checked out by: Total Balance Due: 0.00 Post Date DesedpUlon Comment Amount 11/24/23 Direct Bill (65.94) 11/24/23 Direct Bill Correction 65-94 Folio Summary 11/23123 - 11/26/23 Direct Bill 0.00 Balance Due: 0.00 With this rate you are able to earn valuable Choice Privileges points! x CSC H 0 1 C E privileges- ftwokkol You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to, www choice hotels - com/choice-privi I eges . Shelter/Hotel-, Shelter Date In. 11/23/2023 Program: DV Client (First Initial & Last Name): Year of Birth: 1983 ........... Case ID, 718046 Secondary #1 YOB: 2008 Secondary #2 YOB: 2018 Secondary #3 YOB*- 2021 Secondary #4 YOB* - Secondary Secondary #6 YOB: Previous Living Situation?: Client Shelter Form A. Sinead Hotel Name/Room in Shelter: Quality Inn /108 Date Out, 11/26/2023 Review Shelter Guidelines: Invoice Turned In: No Client ID: GQU29214 NCA Trak.- 2023-754 Gender: Female Gender., Male Gender: Male Gender: Gender, Gender. Owned by client W/out subsidy Where did client exit to?: Owned by client Vout subsidy Payment Grant,im W__ 7 ct comments: Yes Page 1 / 1 Invoice 0403515 Date 12/6/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor.- MELVA LANE LLC DBA: QUAILITY INN 449 MELVA LANE MOSES LAKE WA 98837 Document Number Purchase Order Number VendorlD Shipping Method Payment Terms ID 901901181 ------ - — ---- ----- QUALI ... . ..... - — ---- .. . ... NEr 30 ...... - - ----- ....... ........ Emergency Shelter Amount $65.941 Subtotal $65.94 Mist $0.00 Tax MOO Freisht $0.00 Trade Discount 0.04 Payment $0.00 Total Due $65,94 AV4L Quality I N N RY C1404CE HOTELS NEW HOPE HOPE, NEW 311 w 3rd Moses Lake, WA 98837 Quality Inn (WA255) 449 Melva Lane Moses Lake, WA 98837 (509) 765-8886 WA255@stayatchoice.com Post Date Descn�ptlon 11/29/23 Room Charge 11/29/23 State Tax 11/30/23 Direct Bill Room Charge State Tax Direct Bill Comment #305 HOPEA NEW Account* 901901181 Date, 12/3/23 RoOM: 305 LMCONS Arrival Date: 11/29/23 Departure Date: 11/30/23 Check In T' 'me: 11/29/23 12:37 PM Check Out Time: 11/30/23 12:55 PM Rewards Program ID: You were checked in by: jrnille You were checked out by: jrnille Total Balance Due: 0.00 Folio Summary 11/29/23 - 11/30/23 Balance Due: With this rate you are able to earn valuable Choice Privileges points! X Amount 6U0 5.94 (65.94) 60.00 5.94 (65,94) 0.00 4SCHOICE p i ileges, riv NtWA*115 You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www. choiceh otels -corn/choice-privi leg es. Post Date Description Comment Amount 0.00 Folio Summary 11/29/23 - 11/30/23 Balance Due: 0.00 With this rate you are able to earn valuable Choice Privileges points! 4,0* CHOICE privileges- . 01AW40111t You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by thefront desk, or logging on to www.cho'lcehotels-com/cho*lce-pr*lvileges. Quallity Inn (WA255) Account: 901901181 449 Melva Lane Date: 12/3/23 Qua[ t Moses Lake, WA 98837 Room: 305 WCONS INN y (509) 765-8886 rril Date: Ava .11/29/23 sy CHOICE HOTELS WA255@stayatchoice.com Departure Date: 11/30/23 Check In Time: 11/29/23 12-37 PM NEW HOPE Check Out Time: 11 /30/23 12:55 PM Rewards Program ID: HOPE, NEW 311 w 3rd You were checked jmille Moses Lake, WA 98837 You were checked out by: jmille Tolal Balance Due: 0.00 Post Date Description Comment Amount 0.00 Folio Summary 11/29/23 - 11/30/23 Balance Due: 0.00 With this rate you are able to earn valuable Choice Privileges points! 4,0* CHOICE privileges- . 01AW40111t You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by thefront desk, or logging on to www.cho'lcehotels-com/cho*lce-pr*lvileges. Shelter/Hotel: 0 Date In, Program,: DV Hotel 11/29/2023 Client (First Initial & Last hams), Year of Birth: 1999 Casell), 714954 Secondary #1 Y08: 2018 Secondary #2 YOB: Secondary #3 YOBV Secondary #4 YOB* - Secondary #5 YOB" Secondary #6 YOB: Client Shelter Form D.Cannon Hotel Narne/Roomire Shelter: Date Out: Review Shelter Guidelines, Invoice Turned In: .......... . Client ID: GML33113 NCA Trak: 2023-663 Gender., Male Gender: Gender: Genderf, Gender: Gender: Previous Living Situation?: Rental by client, no ongoing subsidy Where did client exit to?: Payment Grant: Comments: Yes 309 Page 111 Invoice 0403513 Date 12/6/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor.-, MELVA LANE LLC DBA.- QUAILITY INN 449 MELVA LANE MOSES LAKE WA 98837 Document Number Purchase Order Number 1 VendorlD Shipping Method Payment Terms ID — - ---- . ..... . . . ...... ... . ....... �. _.., .. _ ...__ Description: NET 30 ---- — -- ---- Emergency SFetter Amount. 565.941 Subtotal $65.94 MIC $0.00 Tax $0,00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $65.94 I Ar Quality INN By CHOICE HOTELS NEW HOPE HOPE, NEW unknown Moses Lake, WA 98837 Quality Inn (WA255) 449 Melva Lane Moses Lake, WA 98837 (509) 765-8886 WA255@stayatchoice-com Account: 901 801 094 Dale: 12/3/23 Room: 221 WCONS Arrival Date: 11/28/23 Departure Date: 11/29/23 Check In Time: 11/28/23 11:36 PM Check Out Time: 11/29/23 1:41 PM Rewards Program ID: You were checked in by. imacke You were checked out by: imille Total Balance Due: 0.00 Post Date Descrilption Comment Amount 11/28/23 Room Charge #221 HOPE, 59.99 NEW 11/28/23 State Tax o 5.94 11/29/23 Room Charge UNDER 0.01 CHARGED 11/29/23 State Tax 0.00 11/29/23 Direct Bill (65,94) Folio Summary 11/28123 - 11/29/23 Room Charge 60.00 State Tax 5.94 Direct Bill (65,94) Balance Due,- 0.00 With this rate you are able to earn valuable Choice Privileges points! OCHOICE privileges, At'AfAiR01 You could be earning free nights at Choice hotels and other great rewards. Join Choice Privileges today by stopping by the front desk, or logging on to www.cho*lcehotels.com/choice-privileges. Quality INN V CHOICE HOTELS NEW HOPE HOPE, NEW unknown Moses Lake, WA 98837 Quality Inn (WA255) 449 Melva Lane Moses Lake, WA 98837 (509) 765-8886 WA255@stayatchoice.com Post Data Description 11/28/23 Safe w/1td Warranty 11/28/23 State Tax 11/29/23 Safe w/ltd Warranty 11/29/23 State Tax Check In Time: State Tax Check Out Time: Safe w/ltd Warranty Comment Adjustment Adjustment Folio Summary Account: 901801094 Date: 12/3/23 ROOM 221 I -MOONS Arrival Date: 11/28/23 Departure Date: 11/29/23 Check In Time: 11 /28/23 11--36 PM Check Out Time: 11/29/23 1:41 PM Rewards Program ID: You were checked in by, imacke You were checked out by: jmille Total Balance Due: 0.00 11/28/23 - 11/29123 With this rate you are able to earn valuable Choice Privileges points! x Amount 1.50 0.15 (1-50) (x.15) Balance Due: 0.00 fla CHOICE P i ileges. NfWARDIA You could be earnina free nights at Choice hotels and other great rewards. join Choice *W Privileges today by stopping by the front desk, or logging on to www.chol'cehotels.com/cho*lc;e-privileges. Shelter/Hotel: Date In-, Program: DV Hotel 11/28/2023 Client (First Initial & Last Name): Year of Birth. 1974 Case ID, 718410 Secondary #1 YOB: Secondary #2 YO8-1 Secondary #3' : Secondary #4 YOB: Secondary #5 Y08k Secondary #6 YOB* 4 Previous Living Situation?: Where did client exit to?: Payment Grant, Comments: Client Shelter Form D. Massey Hotel Name/Room In Shelter,,, Quality Inn )21 Date Out: Review Shelter Guidelines: Invoice Turned In: 0 Client I,DGQU26242 NCA Trak: 2023-761 Genders Gender: Gender: Gender: Gender: Gender: Rental by client, no ongoing subsidy Yes Page 111 Invoice 0403462 Date 1216/2023 County of Grant 35 CST NW P.O. Box 37 Ephrata WA 98823 Vendor: PAIGE BARRIENTOZ 1622 S WALLACE ST MOSES LAKE WA 98837 19.v - — -------- Document Number Purchase Order Number VendorlD Shipping Method . ......... 20231 . ....... — - -------- Payment Terms ID BARNP Description: Janitorial Amount: $)01 950.( .. . ... ..... . ..... .. . ..... Subtotal $950.00 disc $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0,00 Total Due $950,00 �O/ PB ..IANT(j--'RIA.L 16 2 2 S �AVA L L A ST. ,�IIOSES LAKF, WA 98837 509-989-425: BARRIENT07PAIGE,22@GMAILCOM Description DECEMBER JANITORIAL DECEMBER WINDOW WASHING INVIE Cate; 12/04/2023 INVOICE # 202312 To NEW HOPE 311 W THIRD AVE MOSES LAKE, WA 98837 509-764-8402 SF0DE@GRA6 TC0UNTYWA,q0Vv, A-BARRIENTOZ@GR,NT COUNTYWA.GO v Line Total 750.00 Total 950,00 Make all kc-heck-sE ayable to PAI BARRIENT07 .p L- Thank you for your business! PB jandorial !MQ,0'0 CL . . ...... . . .. Page 1 /1 Invoice 0393287 Date 12/19/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, ARIO PADILLA 10281 BASELINE E RD MOSES LAKE WA 98837 ------ .. .... Document Number I Purchase Order Number... orShlippins Method PaYment Terms ID 8/1 /23-7/31/24 . ..... ..... . .... PADILM ............... Description. - Amount LEASE AGREEMENT $3,874.53 I. Subtotal $3)874.53 Mist $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $31874.53 V00"O' ------- - ------- Year One — . . . ....... Year Two Year Three Year Four Year Five Year Six Year Seven 81112022 -7131123 8IM3- 713LV T 811124- 7131125 811125- 8131126 81 6. 713112 7 81-112 7� 713-LI28 811128. 713-1129 New Hop Rent Landlord 4,013-917 ----- - $4J74-51 $4,341.51 $4,515.17 $4,695-78 $49883-61 $5,1078.95 Donated Portion $300.00 $300.00 $300.00 $300.00 $300,00 $300.00 $300.00 Net Amount Due from New V $3,713-97 $3 874 53 $4,041-51 $4,215.17 $1,395.78 $4,583.61 L$47778-95 Rent is due, in advance, without receipt of a billing or statement, the fust day of each month and is to be paid directly to THE LESSOR. A one and one-half percent (1.5%) service charge will be collected for payments received after the tenth of the month for the month which they are due. If any check received by THE, LESSOR is returned for any reason, THE LESSOR will make an additional charge of Twenty -Five Dollars ($25.00). In the event the tern of this Lease shaU begin or end other than on the first day of a calendar month, the rental for any such partial month shall be pro -rated. Rental for months other than partial months shall be paid on the first day of each calendar month, M* advance for the ensuing month. 3. OTHER TAXES: THE LESSEE shall pay all taxes, licenses and fees, which by law are 'osed on THE LESSEE, by reason of THE LESSEE'S eratio ' o IMP P ns or upon any of THE LESSEE'S personal property situate in or about the leased premises. If other taxes, licenses or 01 fees, which by law are unposed on THE LESSEE or assessed upon the premises leased herein durm'jz the teen of this Lease by any governmental agency, THE LESSEE shall reasonably pay same. 4. US:: THE LESSEE shall not use s "d p -ses for any other purpose other than al reim the use of general executive office space and the uses resulting thereby without the prior written consent of the Lessor, in which said consent shall not be urxeasonably withheld. THE LESSEE agrees that no stock of goods will be carried or anything done in or about the premises which will increase the present rate of insurance. The rental contamed herein is predicated on, among other things, THE LESSOR'S existing insurance premIUMS, and in the event that THE LESSEE'S Commercial Lease Page 2 0 Page 1 / 1 Invoice 0392931 Date 12/19/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor-, MARIO PADILLA 10281 BASELINE E RD MOSES LAKE WA 98837 Document Number 4Purchase Order Number VendorID Shipping Method Payment Terms ID L-7 - - - .. . ...... v. 108/01/23-7/31/24 iPADILM ... . ........ ............ .. .......... . ..... ....... ....... . ..... ...... ...... . . ..... ... ........... .. ...... . ..... ... . ..... Description.- Amount' LEASE AGREEMENT $3)851 M . ......... . ...... . ... .... ......... ------- ---_------- - ------ .... .. Subtotal $3,851.68 is $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $3,851.68 V 1 - ----------------------- Year Year Year Year Year --- --- - Year One Two -- The Four Five Year Six Seven 81112022 811123. 811124. 811125- 81Y2 6- 811127- 811128. -e"" -7131123 713 L12 +1 713 112 5 8131126 7131127 7131128 7131129 Kids HOP Rent $31992,00 $4J51.68 $4,317.75 $4,490,46 $4,670.08 $4X6.88_ $5t,051J5 Landlord Donated Portion $300.00 $300.00 $300.00 $300.00 $300.00 $300.00 $300.00 Net Amount Due from Ney 42 $3,692.00 $3,1851.68 $4�017.75 .... 1 $4,190,46 1 $4,370-08 $4556.88_ 1 $47751.15 Rentis due, in advance, without receipt oilli or statement the first day of each month andd THEto is be i directly to LESSOR. A one and one-half percent (1.5%) service I pai charge Will be collected for payments received after the tenth of the month for the month in which they are due. If any check received by THE LESSOR is returned for any reason, THE LESSOR will make an additional charge of Twenty -Five Dollars ($25.00). In the event the term of this Lease shall begin or end other than on the first day of a calendar month, the rental for any such partial month shall be pro rated, Rental for months other than partial months shall be paid on the first day of each calendar month, in. advance for the ensuing month, 3. OTHER TAXES: THE LESSEE shall pay all taxes, licenses and fees, which by law are 'on THE osed on THE LESSEE by reason of THE LESSEE'S o erati-ons, ny f IMP or upon a P LESSEE'S personal property situate in or about the leased premises. If other taxes, licenses or fees, which by law are imposed on THE LESSEE or assessed upon the premises leased herein during the term of this Lease by any govemmental agency, THE LESSEE shall reasonably pay 4. USE: THE LESSEE shall not use said premises for any other purpose other than the use of general executive office space and the uses resultm*g thereby without the prior written consent of the Lessor, in which said consent shall not be unreasonably withheld. THE LESSEE agrees that no stock- of goods will be earned or anything done in or about the premises which will increase the present rate of insurance, The rental contained herein 'is Predicated on, among other tongs, THE LESSOR'S existing insurance premiums, and in the event that THE LESSEEIS Commercial Lease Page 2 -10 County of Grant 35 C ST NW PA Box 37 Ephrata WA 98823 Vendor,: U.S. Linen Uniform 1106 Harding St. Richland WA 99352 w_........,.----. --------- --- - .. ....... . ......... - ------ - 1------v.._..,.. ---- - -- I - ----------- -- -- - ---- Document Number Purchase Order Number VendorlD ---- — --- --- —11--.1-1 .. . ....... ....... ... . ... .... . ........ USLUF ........ 'Description, I janitorial Page 1 / 1 Invoice 0403456 Date 12/6/2023 M,.-........ - Shipping Method Payment Terms ID NET 30 Amount $92.04' Subtotal $92.04 disc $0.00 Tax $0.00 Freight $0.00 Trade Discount $0.00 Payment $0.00 Total Due $92.04 U.S. Linen Ar.". 4, and U 1 M n'for (P.Na' U.S. LINEN & UNIFORM 1106 HARDING ST RICHLAND, WA 99352 (888)875-4636 NEW HOPE 311 W THIRD AVE I . . M 0 S ES LAKE, WA 98837 ... .... ...... . .... . ...... Date Invoice Day Gwent Mem Fr q. Seq Term Account Route . ..... .. .. 11/23/2023 3233014 Thu 110350 5 4180 CH G 110350-00000 311 I I 1 6 OFFICE ROUTE Line Itempl TJ Name I Desctiption Sizes QtyInv. _ Adj. Qty. . Min. Adj. Amt. Ext. Pnice I Adj. Qty. I Adj. Amt. I Total 6265 3X5 SLATE MAT 3 6 0 $0.00 $17.35 0 $0.00 $17-35 2 6269 3X10 SLATE MAT 4 8 0 $0,00 $44.92 0 $0.00 $44.92 FUEL SURCHARGE $0.00 $7,50 SERV/DEL CHCS $0.00 $7,57 $0,00 $7,57 TEXTILE MAINTENANCE $0,00 $7,57 Total Due Cur. Bus. Cur. Bal, 30 60 90 mmwmm 120 Office Adj.: $0.00 Subtotal, $84,91 Rte. Adj.: $0.00 $92.04 $0.00 $92.04 $0.00 $0.00 $0.00 KOO Tax Adj,-. $0.00 Sales Tax: $7.13 Tax Adj.: $0.00 Comment., Net Adj.: $0.00 Prebill: $92.04 Net Adj.: $0.00 Total Adj-: $0.00 Tax Adj, $0.00 Net Charge: $92.04J Received By: NOA 11/2212023 11:33:56AM A A. U.S. Linen a-ad unit-orm . r4k' 1914 A" Comment: Bill To: NEW HOPE 311 W THIRD AVE MOSES LAKE, WA 98837 U.S. LINEN & UNIFORM 1106 HARDING ST RICH LAIC D, WA 99352 (888)875-46 36 ------ - ----- I --- - ------- Statement Date Account RT 12/4/2023 110350 311 A Date ---- - -------k Transaction Amount- t Balance 1112312023 Invoice 3233014-00 1 $92-04 ------- $92.04 $92-04 - .-- - ----- Current 30 Days 60 Days 90 Days Total Balance .$92,04 ------------- $0.00 -J $0,00 $0.00 $92.04 We reserve the right to assess a service charge against all past due balances. ----------- I ---- Total $92-04 Delivery: NEW HOPE 311 W THIRD AVE MOSES LAKE, WA 98837 Remit To: U.S. LINEN & UNIFORM 1106 HARDING ST RICHLAND, WA 99352 Please detach and return with remittance Closing Date: 11/30/2023 Due Date: 12/19/2023 --------- Amount Enclosed Statement Date Account 12/4/2023 110350 Invoice Balance x 3233014-00 ----- ------ - -------- .00- -- - .4 --1-- 1., $92-04 - .-- - ----- Please indicate vA.1hich invoices you are paying by placing a check mark beside the invoice/balance on the remittance. Page 1 of 1 Page 1 /1 Invoice 0404039 Date 12/12/2023 County of Grant 35 C ST NW P.O. Box 37 Ephrata WA 98823 Vendor: U.S. Linen Uniform 1106 Harding St. Richtand WA 99352 Document Number Purchase Order Number VendorID Shipping Method Payment T"irms ID 43240285 NET 30 ------- �USLUF I Descript' Amount Janitoriat $92.04' Subtotal mise Tax Freight Trade Discount Payment Total Due $92.04 $0.00 $0.00 $0.00 $0.00 $0.00 $92-04 U.S. Linen and tin ifo r*m Delivery naroice U.S. LINEN & UNIFORM 1106 HARDING ST I RICHLAND, WA99352 (888)875-4636 NEW HOPE 311 WTHIRDAVE MOSES LAKE, WA 98837 5 4180 CHG 110350-00000 311 qqoqn-'� '!- , " " 14, 'k eq . :�: A 0. M r T " �S "'M a !ar 12/07/2023 3240285 Thu 110350 Total Due Cur. Bus, Cur. Bal. 30 60 90 - ----- ....... -120 $92.04 $0.0o $92.04 $0.00 $0.00 $ O.Ou— $0,00 Co m me nt: Office Adj.: 1 11 $0.00 1101111111 Subtotal: Tax Adj.: $0,00 Sales Tax: Net Adj.: $0.00 Prebill.- Tbtal Adj,: Tax Adj.: mom $84.91 Route Adj.: $7.13 Tax Adj.: [� $92.04 Net Adj.: I Received By: Net Charge: I I US Linen 92.04 L . . .......... 9Z, . .. . ........... . . . . . . .. . ............ . - 921 V2 14, ....... t;c.11-l.,-."--- Vtos $0.13.8 i 0.08S .. - I 461 Otk -U44